Orthopedic Surgery, UCSF Spine Center, 400 Parnassus Avenue, San Francisco, CA 94143, USA.
Neurosurgery, UCSF Spine Center, 400 Parnassus Avenue, San Francisco, CA 94143, USA.
Neurosurg Clin N Am. 2018 Jul;29(3):331-339. doi: 10.1016/j.nec.2018.03.009.
Alignment of the lumbar spine has an important impact on the segmental motion, degenerative pathology, and health-related quality of life. The relationship between lumbar lordosis and pelvic incidence is predictive in the pathogenesis of spinal disorders, including disk degeneration, spondylolisthesis, and adjacent segment degeneration. This article reviews the relationship between lumbar and pelvic alignment with pathology of the lumbar spine, provides goals for appropriate alignment in reconstructive surgery, and discusses strategies for effective realignment of the spine.
腰椎的对线排列对节段运动、退行性病变和与健康相关的生活质量有重要影响。腰椎前凸与骨盆入射角之间的关系在脊柱疾病的发病机制中具有预测性，包括椎间盘退变、脊椎滑脱和邻近节段退变。本文回顾了腰椎和骨盆对线排列与腰椎病变之间的关系，为重建手术中的适当对线排列提供了目标，并讨论了脊柱有效重新对线排列的策略。
